This article examines the use of the Tar Wars curriculum with the public he
alth problem of preteen smoking and outlines interventions with a middle sc
hool population by community health student nurses from a state university.
Smoking is the single most preventable cause of death and disability. Thre
e million people die worldwide each year as a result of smoking. Cigarette
smoking has now been labeled a pediatric disease. Estimates are that 3,000
children will begin a lifelong addiction to cigarettes every day. They will
face a life of poor quality based on the medical consequences of smoking c
igarettes. Mortality from tobacco use is annually greater than that from dr
ug abuse, AIDS, suicide, homicide, and motor vehicle accidents combined. Pr
eteen and teenage smoking is now a public health problem, therefore implica
tions for service learning, nursing advocacy, and interventions with this h
ealth problem are discussed.